Iceland isn’t really a poor country though, even if it doesn’t have a high GDP. It’s more like New Zealand.
cite for what? my comment is basically asking for a citation for the OP's (and your) claim that substance abuse isn't culturally dependent?
I didn't claim that it wasn't culturally-dependent. Both people turning to drugs to self-medicate, and people not supporting and funding effective interventions - people on both sides rejecting or not seeing the opportunity to engage in community-building - is absolutely a culture issue.